Evidence map›Paper›PMID 27576441›Full record

ReviewBiomedical engineering online2016

Current methodological and technical limitations of time and volumetric capnography in newborns.

Gerd Schmalisch

Registry-linked trialAbstract readReview
In one paragraph

Review in Biomedical engineering online, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03758313 (Non-Invasive Monitoring of Partial Pressure of Carbon Dioxide in Mechanically Ventilated Preterm Infants), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03758313 completednot on this mapstarted 2018, after this paper: background citation

Non-Invasive Monitoring of Partial Pressure of Carbon Dioxide in Mechanically Ventilated Preterm Infants

TypeobservationalSponsorTobias WertherRan2018 to 2020Enrolled27ConditionsPreterm InfantArmsCO2 measurements
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Development and preliminary tests of a portable volumetric capnograph for outpatient use.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Article
  8. Enhancing the estimation of PaCOBiomedical engineering online · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Assessment of neonatal respiratory rate variability.Journal of clinical monitoring and computing · 2022
    Article
  14. Review
  15. Accuracy of a battery-powered portable capnometer in premature infants.Journal of clinical monitoring and computing · 2022
    Article
  16. Article
  17. End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  18. Article
  19. Respiratory Care for the Ventilated Neonate.Canadian respiratory journal · 2018
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Gerd SchmalischDepartment of Neonatology, Charité University Medical Center, Charitéplatz 1, 10117, Berlin, Germany. gerd.schmalisch@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although capnography is a standard tool in mechanically ventilated adult and pediatric patients, it has physiological and technical limitations in neonates. Gas exchange differs between small and adult lungs due to the greater impact of small airways on gas exchange, the higher impact of the apparatus dead space on measurements due to lower tidal volume and the occurrence of air leaks in intubated patients. The high respiratory rate and low tidal volume in newborns, especially those with stiff lungs, require main-stream sensors with fast response times and minimal dead-space or low suction flow when using side-stream measurements. If these technical requirements are not fulfilled, the measured end-tidal CO2 (P et CO 2 ), which should reflect the alveolar CO2 and the calculated airway dead spaces, can be misleading. The aim of this survey is to highlight the current limitations of capnography in very young patients to avoid pitfalls associated with the interpretation of capnographic parameters, and to describe further developments.

Indexed as

CapnographyHumansInfant, NewbornLungOrgan SizeTime FactorsCapnographyDead spaceEnd-tidal CO2NewbornsRespiratory function monitoringTidal volume

Identifiers

PMID27576441
PMCPMC5004292

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.